DANIELLA MANCICH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014973

License Status

NOT RENEWED

Business

First Name

DANIELLA

Last Name

MANCICH

Business Name

DANIELLA MANCICH

Original Issue Date

11/03/2014

Effective Date

11/03/2014

Expiration Date

09/30/2015

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016